Reviews Of Local Missouri Casinos

Missouri’s constitution caps the state at 13 casino licenses, and all 13 casinos are commercial, regulated by the Missouri Gaming Commission and closed to anyone under 21. The same age applies to poker and even the state lottery, so a Missourian has to be 21 to gamble in person at all.
Missouri has not authorized sports betting, which means no sportsbooks in its casinos and no racebooks for horse racing. The casinos themselves range from Ameristar Casino Resort Spa in St. Charles, with more than 1,700 machines taking bets from a penny to $100, to Mark Twain Casino in La Grange, which runs electronic blackjack and roulette in place of live tables. A proposed Osage Casino, backed by Bally’s Corporation, would be the state’s first tribal casino if voters approve it.
No Missouri law lets its casinos operate online, and none makes out-of-state sites illegal, so 18+ Missouri casinos are all offshore, most bundling sports betting, horse racing and poker into the same account. They take Bitcoin, Litecoin and P2P apps alongside Visa and American Express.
Missouri's 13-License Cap And Its 21+ Casinos:
- The 13-license limit dates to 2008, and only a constitutional amendment can raise it.
- Bally’s Kansas City has 900 machines and 20 tables but no hotel.
- Century Casino Cape Girardeau has 800 slots, 19 tables and the Winners Zone rewards program.
- Ameristar St. Charles keeps 89 games in its high-limit salon.
Does Missouri Have 18+ Casinos?

No, the state only allows players over the age of 21 to partake in casino gambling. You can find 18 and up online casinos listed throughout www.casinos18.com which are viable options due to the lack of state laws that address the offshore gambling matter. Federal gambling laws also do not forbid online gambling and, instead, let the states decide what their residents and guests can access online.
Commercial Casinos In MS
Currently, there are 13 commercial Missouri casinos and an amendment to the state’s constitution would be needed before any other casino licenses could be issued. Since online sportsbooks are not licensed or offered by the state, casinos are limited to slots, poker, and tabletop games.
Below, we will describe a few of the best gambling destinations in the state and what each property offers its players.
Ameristar Casino Resort Spa – St. Charles, MO

- Slot Machines: 1,700+
- Gaming Tables: 70
- On-Site Poker: Yes
- Sportsbook: No
- Online Gambling: None
- Hotel Accommodations: Rooms, Pool
- Hotel Rooms: 400
- Hotel Price: $180 range
- Entertainment: Yes
- On-Site Restaurants: 7
- Smoking Allowed: Yes
- Casino Gambling Age: 21
Gaming machines at the Ameristar Casino Resort and Spa start at 0.01 per bet and max out at $100 per bet. With more than 1,700 slot and video poker machines, the Ameristar hosts one of the most extensive gaming floors in the state. The high-limit salon also features 89 games and 16 progressive slots. New slot titles for 2026 include Super Buffalo, Super Dragon, Jade Monkey Deluxe, and more.
Address: 1 Ameristar Blvd, St Charles, MO 63301
Phone: (636) 949-7777
Century Casino & Hotel – Cape Girardeau, MO

- Slot Machines: 800
- Gaming Tables: 19
- On-Site Poker: Yes
- Sportsbook: No
- Online Gambling: None
- Hotel Accommodations: Rooms, Pool
- Hotel Rooms: 69
- Hotel Price: $120 range
- Entertainment: Yes
- On-Site Restaurants: 2
- Smoking Allowed: Yes
- Casino Gambling Age: 21
The Century Casino & Hotel in Cape Girardeau is a modest-sized casino with plenty of gambling options, including slots, table games, and poker. Popular table games include blackjack gambling, craps, and mini-baccarat. Players who sign up for the Winners Zone rewards program get unique benefits and rewards.
Address: 777 Main St, Cape Girardeau, MO 63701
Phone: (573) 730-7777
Bally’s – Kansas City, MO

- Slot Machines: 900
- Gaming Tables: 20
- On-Site Poker: Yes
- Sportsbook: No
- Online Gambling: None
- Hotel Accommodations: None
- Entertainment: Yes
- On-Site Restaurants: 5
- Smoking Allowed: Yes
- Casino Gambling Age: 21
Bally’s brand is a staple among US casino destinations, and its Kansas City location offers everything you would find in its bigger casinos, except for sports betting. Bally’s Casino Kansas City offers more than 900 gaming machines that feature slots and video poker. Table game options include multiple variations of blackjack and baccarat. You will also find Ultimate Texas Hold’Em, craps, and roulette tables.
Address: 1800 E Front St, Kansas City, MO 64120
Phone: (816) 855-7777
Mark Twain Casino – La Grange, MO

- Slot Machines: 430
- Gaming Tables: Electronic Only
- On-Site Poker: No
- Sportsbook: No
- Online Gambling: None
- Hotel Accommodations: RV Parking
- Entertainment: No
- On-Site Restaurants: 1
- Smoking Allowed: Yes
- Casino Gambling Age: 21
The Mark Twain Casino in La Grange opened in 2005 and has switched ownership several times. However, this location is more of a slot parlor than a casino, as it hosts no live dealer games and instead opts for electronic table games that feature blackjack and roulette. There is also no sportsbook, as state laws and no on-site poker room bar it.
Address: 104 Pierce St, La Grange, MO 63448
Phone: (816) 855-7777
Missouri Casino List
- Ameristar Casino Resort Spa
- Ameristar Casino Hotel
- Argosy Casino Hotel & Spa
- Bally’s Kansas City
- Century Casino Cape Girardeau
- Century Casino Caruthersville
- Harrah’s North Kansas City
- Hollywood Casino St. Louis
- Isle of Capri Casino Hotel
- Horseshoe St. Louis
- Mark Twain Casino
- River City Casino & Hotel
- Jo Frontier Casino
Tribal Casinos In MO
There are plans to build the state’s first-ever tribal gambling destination in the Lakes of Ozark area. Plans submitted for the “Osage Casino” include a casino, hotel, restaurant, sports bar, and meeting facility. The voters must first approve the project before construction can begin.
If approved, the casino initiative will override the state’s limit of 13 gaming licenses, first passed in 2008. Bally’s Corporation is bankrolling the project, which is expected to bring 700-800 jobs to the area.
More Missouri Gambling Options
In addition to casinos, Missouri also offers poker gambling and a state lottery. Players must be over 21 to gamble in person. However, numerous online casino games, sportsbooks, and poker options will accept players over 18.
Since state-licensed sportsbooks have not yet been authorized to operate in the state, there are also no racebooks for betting on horse races.
The Minimum Gambling Age In Missouri
The gambling age in Missouri is set to 21 and above for casinos, poker, slots, and the state’s lottery.
Do Local Casinos In Missouri Offer Online Gambling?
No, the state has yet to pass legislation to allow its gambling services to operate online. The state has shown its conservative background by not passing a sports betting law or any legislation to allow its state-licensed casinos to operate over the web.
However, the state has also not blocked or passed any laws making out-of-state online gambling services illegal. Mobile casinos, sportsbooks, and poker sites that are accessible and operating online in the state are not licensed by Missouri.
Best Online Missouri Casinos For 2026

Below are our recommendations for the most trusted online casino sites that service the Show-me state in 2026. Each of the following sites accepts MO players over 18 and offers the same odds you will find in the local casinos. In addition, most brands below also have sports betting, horse betting, and poker options included in a single-player account.
Alongside their top-rated casino games, you will also find user-friendly banking options, including Bitcoin, Litecoin, P2P apps, Visa, American Express, and more. Each site differs in banking options, a topic we often cover with our 18 and up online casino reviews.



